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  1. psnet.ahrq.gov/issue/plan-would-compile-analyze-medical-errors
    December 07, 2005 - Newspaper/Magazine Article Plan would compile, analyze medical errors. Save Save to your library Print Share Facebook Twitter Linkedin Copy URL August 3, 2005 This article presents the newly passed Patient Safety and Qu…
  2. ecareplan.ahrq.gov/collaborate/plugins/viewsource/viewpagesrc.action?pageId=29589531
    September 14, 2020 - The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) and the Agency for Healthcare Research and Quality (AHRQ) would like to thank the Contract Monitoring Board (CMB) members for their valuable time and insight. The CMB meets yearly to assess the direction of the Multiple Chronic Conditions eCar…
  3. cmext.ahrq.gov/confluence/plugins/viewsource/viewpagesrc.action?pageId=109248863
    The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) and the Agency for Healthcare Research and Quality (AHRQ) would like to thank the Contract Monitoring Board (CMB) members for their valuable time and insight. The CMB meets yearly to assess the direction of the Multiple Chronic Conditions eCar…
  4. pbrn.ahrq.gov/patient-safety/resources/sheridan-video/index.html
    December 01, 2017 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Quality Measures Reports Engaging Patients and Families About AHRQ's Quality & Patient Safety Work Patie…
  5. pcmh.ahrq.gov/patient-safety/resources/sheridan-video/index.html
    December 01, 2017 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Quality Measures Reports Engaging Patients and Families About AHRQ's Quality & Patient Safety Work Patie…
  6. www.ahrq.gov/evidencenow/tools/decision-support.html
    November 01, 2018 - Integrating Decision Aids into Primary Care: Toolkit Resource: Decision Support Toolkit for Primary Care Patient decision aids are tools for sharing evidence about treatment and screening options and helping patients clarify their values. This toolkit outlines seven steps for implementing a patient decision-…
  7. Slide 1 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/cf_deliberativemethodswebinar_introduction.pdf
    April 19, 2012 - Slide 1 Community Forum Community Forum Agency for Healthcare Research and Quality Community Forum April 19, 2012 Using Deliberative Methods to Engage the Public: How to design and implement an effective deliberative session Community Forum Community Forum Community Forum 2 Purpose …
  8. pso.ahrq.gov/pso/alliance-dedicated-cancer-centers-patient-safety-organization
    June 14, 2022 - SHARE: More topics in this section Return to Search Alliance of Dedicated Cancer Centers Patient Safety Organization PSO Number: P0240 Components of Parent Org(s): Alliance of Dedicated Ca…
  9. digital.ahrq.gov/program-overview/our-experts/maria-michaels-mba-pmp
    January 01, 2023 - Maria Michaels, M.B.A., PMP Maria Michaels, M.B.A, PMP is a Special Expert for Digital Health in the Division of Digital Healthcare Research (DHR) in the Center for Evidence and Practice Improvement (CEPI) at the Agency for Healthcare Research and Quality (AHRQ), using technology to transform data i…
  10. digital.ahrq.gov/program-overview/our-experts/roland-gamache-phd-mba-famia
    January 01, 2023 - Roland Gamache, Ph.D., M.B.A., FAMIA Roland Gamache, Ph.D., M.B.A., FAMIA is a Staff Fellow for the Division of Digital Healthcare Research in the Center for Evidence and Practice Improvement at the Agency for Healthcare Research and Quality. His areas of focus include the effective use of informati…
  11. Slide 1 (pdf file)

    effectivehealthcare-admin.ahrq.gov/sites/default/files/cf_deliberativemethodswebinar_introduction.pdf
    April 19, 2012 - Slide 1 Community Forum Community Forum Agency for Healthcare Research and Quality Community Forum April 19, 2012 Using Deliberative Methods to Engage the Public: How to design and implement an effective deliberative session Community Forum Community Forum Community Forum 2 Purpose …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60688/psn-pdf
    July 15, 2020 - The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. July 15, 2020 Lloyd-Smith MK. The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. BMJ Leader. 2020;4:109-112. doi:10.1136/leader-2020-000245. https://psnet.ahrq.gov/issue/covid-19-p…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840169/psn-pdf
    November 16, 2022 - ISMP survey on tall man (mixed case) lettering to reduce drug name confusion. November 16, 2022 Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/ismp-survey-tall-man-mixed-case-lettering-reduce-drug-name-confusion Mixed case letters are one suggested strategy to reduce look-alike medication na…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44674/psn-pdf
    December 18, 2017 - Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor Scott & White Health. December 18, 2017 Compton J. Boca Raton, FL: CRC Press; 2016. ISBN: 9781498732390. https://psnet.ahrq.gov/issue/achieving-safe-health-care-delivery-safe-patient-care-baylor-scott-white-health Since the publication of the Inst…
  15. www.ahrq.gov/evidencenow/tools/diy-run-chart.html
    July 01, 2022 - Do It Yourself Run Chart for Primary Care Practices Resource: Do It Yourself Run Chart  (XLSX, 86 KB) Primary care practices can use this Excel spreadsheet to create run charts to track their progress in quality improvement. It includes instructions, an example of a diabetes measure, and a programmed blank s…
  16. www.ahrq.gov/antibiotic-use/acute-care/diagnosis/index.html
    June 01, 2021 - Learn Best Practices for the Diagnosis and Treatment of Infectious Syndromes For information on how the materials below can be integrated into institutional efforts to improve antibiotic use, please read the Toolkit Implementation Guide for Acute Care Antibiotic Stewardship Programs  (PDF, 328 KB). Each sy…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836969/psn-pdf
    April 20, 2022 - Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. April 20, 2022 ISMP Medication Safety Alert! Acute care edition. April 7, 2022; 27(2):1-6. https://psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens- patient-safety…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45043/psn-pdf
    July 01, 2016 - Exclusion of residents from surgery-intensive care team communication: a qualitative study. July 1, 2016 Conn LG, Haas B, Rubenfeld GD, et al. Exclusion of Residents From Surgery-Intensive Care Team Communication: A Qualitative Study. J Surg Educ. 2016;73(4):639-47. doi:10.1016/j.jsurg.2016.02.002. https://psnet.a…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34727/psn-pdf
    July 13, 2016 - Human Error in Medicine. July 13, 2016 Bogner MSE, ed. Hillsdale, NJ: L. Erlbaum Associates; 1994. ISBN 9780805813852. https://psnet.ahrq.gov/issue/human-error-medicine This book, published well in advance of the Institute of Medicine report To Err is Human, includes chapters by a number of leaders in their fields…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47615/psn-pdf
    January 30, 2019 - A Crisis in Health Care: A Call to Action on Physician Burnout. January 30, 2019 Jha AK, Iliff AR, Chaoui AA, et al. Waltham, MA: Massachusetts Medical Society, Massachusetts Health and Hospital Association, Harvard T.H. Chan School of Public Health, and Harvard Global Health Institute; 2019. https://psnet.ahrq.g…